Provider Demographics
NPI:1669969770
Name:PLAUT, TOVA (DO)
Entity type:Individual
Prefix:
First Name:TOVA
Middle Name:
Last Name:PLAUT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 GUY LOMBARDO AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3714
Mailing Address - Country:US
Mailing Address - Phone:888-362-5593
Mailing Address - Fax:516-377-3844
Practice Address - Street 1:73 GUY LOMBARDO AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3714
Practice Address - Country:US
Practice Address - Phone:516-377-3332
Practice Address - Fax:516-377-3844
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3144692081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine